Subcortical language localization using sign language and awake craniotomy for dominant posterior temporal glioma resection in a hearing-impaired patient - Takeaways - MDSpire

Subcortical language localization using sign language and awake craniotomy for dominant posterior temporal glioma resection in a hearing-impaired patient

  • By

  • Ruth Lau

  • Armaan K Malhotra

  • Mary Pat McAndrews

  • Paul Kongkham

  • April 20, 2023

  • 0 min

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  • 1

    Awake direct cortical stimulation (DCS) was utilized for language mapping in a post-lingual deaf patient undergoing glioma resection.

  • 2

    This case is the first to test both sign language and spoken language during awake mapping in a hearing-impaired patient.

  • 3

    Preoperative imaging included fMRI and DTI, revealing critical language pathways near the tumor in the left temporal lobe.

  • 4

    Intraoperative mapping showed phonemic paraphasias during subcortical stimulation, indicating proximity to language pathways.

  • 5

    Postoperative MRI confirmed gross total resection of the tumor, demonstrating the effectiveness of the awake mapping approach.

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